Active NPI
Sandra J Wesson, PHARM D
- Pharmacist
- Papillion, NE
National Provider Identifier
1831475110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9971
- Practice address
- 11343 S 96TH St
Papillion, NE 68046-4280 - Phone
- (402) 408-0761
- Fax
- (402) 408-0767
- NPI assigned
- Oct 31, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9971 | NE | Primary |
Addresses
Primary practice location
11343 S 96TH St
Papillion, NE 68046-4280
Mailing address
7607 Susan Ave
La Vista, NE 68128-2553
Phone (402) 639-7511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9971 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Papillion, NE
- NPI 1093971301
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- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1831475110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7607 SUSAN AVE",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681282553",
"telephone_number": "402-639-7511",
"fax_number": "402-408-0767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11343 S 96TH ST",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680464280",
"telephone_number": "402-408-0761",
"fax_number": "402-408-0767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESSON",
"first_name": "SANDRA",
"middle_name": "J",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-31",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "9971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.